Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, July 18, 2017

Acceleration based Activity Levels during Subacute Inpatient Stroke Rehabilitation

You'll have to ask your doctor what this knowledge will be used for to help your recovery. I could see no use for it but to blame the patients for not being active enough.  No testing on your doctors and therapists activity levels on your behalf to get recovered. 
http://ac.els-cdn.com/S2212017317300543/1-s2.0-S2212017317300543-main.pdf?_tid=0d3f65ec-6bcb-11e7-9fa6-00000aab0f01&acdnat=1500390730_e2a6b9d7d48c82254d7d98e03ba8d1e6
Procedia Technology 27 ( 2017 ) 120 – 121
Available online at www.sciencedirect.com
ScienceDirect
2212-0173 ©
2017 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license
(
http://creativecommons.org/licenses/by-nc-nd/4.0/
).
Peer-review under responsibility of the organizing committee of Biosensors 2016
doi: 10.1016/j.protcy.2017.04.053
Biosensors 2016

Margit Alt Murphy
a,b
*, Sofi Andersson
a,b
, Anna Danielsson
a
, Fredrik Ohlsson
c
, Jan
Wipenmyr
Abstract
People after stroke have difficulties to reach sufficient physi
cal activity level during their rehabilitation and particularly
outside
the therapy time. We aim to quantify activity levels and investigat
e differences in motor activity in weekdays and weekends in a subacute stage after stroke. Data from mult-
iple three-axis accelerometers was collected during two 48h sessions in 11 patients
.
The activity level and symmetry indices were sensitive to variations in weekend and weekdays. This information is valuable in rehabilitation planning and management and enables identification of those in risk of low physical activity and inactivity.
© 2016 The Authors. Published by Elsevier Ltd.
Peer-review under responsibility of the organizing committee of Biosensors 2016.
Keywords:
Accelerometry, upper extremity; arm; stroke; activity; assessment
1.
Introduction
The number of studies using accelerometers is constantly increasing, but evidence of clinical implications is still unclear and data loss is not always reported [1]. The real-world activity after stroke is not well described [2].This study aims to quantify activity levels and investigate differences in motor activity in weekdays and weekends in persons undergoing rehabilitation in subacute stage after stroke. 
3.
Results
A comparative analysis of the SMA and ratio distributions showed that the activity was lower and the paretic arm was used less on weekends. An analysis of missing data revealed that from all five units over two sessions full two-day data could be obtained in 74% of measurements. A further, 12 % had full data at least from one day, while in 14 % data was missing for more than one day, partly due to patient compliance(6.5%) and partly due toBluetooth, memory card or battery failure of the sensor unit(s) (7.5%).
 
 
Section 2 at link.


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